<%@ page contentType="text/html;charset=UTF-8"%>
    
    <script type="text/javascript">
        
        function selectjyfw(index){
            var bool = document.getElementById("jyfw"+index).checked;
            if(bool){
                for(var i = 1; i <= 3; i++){
                    if(i != index){
                        document.getElementById("jyfw"+i).checked=false;
                    }
                }
            }
        }
    </script>
    
    <table width="700" border="0" cellspacing="1" cellpadding="1">
      <tr>
        <td>
        <table width="100%" border="0" cellspacing="1" cellpadding="1" >
          <tr>
          <td height="20" bordercolor="#000000" align="center" style="font-size:22px;">
            <b>城市道路人行道及相关公共场地临时占用申请表</b>
          </td>
          </tr>
        </table>
        </td>
      </tr>
            <tr>
              <td><table width="100%" border="1" cellspacing="0" cellpadding="2" class="tpl_list_ui">
                <tr>
                  <td width="10%" height="0"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                </tr>
                 <tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">填表日期</td>
                  <td colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  class="text" id="tbrq"  name="tbrq" value="<s:date name='tbrq' format='yyyy年MM月dd日'/>" type="text" style="width:100%" onfocus="WdatePicker({dateFmt:'yyyy年MM月dd日'})" readonly />
                  </td>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">受理号</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="acceptNo" id="acceptNo" value="${acceptNo}" type="text" style="width:100%"  />
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>申请单位</td>
                  <td colspan="8" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="sqdw" value="${sqdw}" type="text" style="width:510" required="true" />
                    <!-- 
                    <input  value="..." type="button" style="width:30" onclick="selectQyxx('${templateCode}');"></input>
                  -->
                  </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>申请单位地址</td>
                  <td colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  class="text" id="sqdwAddress"  name="sqdwAddress" value="${sqdwAddress}" required="true" type="text" style="width:100%"/>
                  </td>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>申请单位电话</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="sqdwTel" id="sqdwTel" value="${sqdwTel}" type="text" required="true" style="width:100%"/>
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>负责人</td>
                  <td colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="fzr" style="width:100%" id="fzr" value="${fzr}"  required="true" type="text" style="width:100%"/>
                   
                  </td>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>联系人</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="lxr"  id="lxr"  value="${lxr}" required="true" type="text" style="width:100%" />
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>临时占用单位</td>
                  <td colspan="8" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="zydw" value="${zydw}" required="true" id="zydw" type="text" style="width:510" />
                    <!-- 
                    <input  value="..." type="button" style="width:30" onclick="selectQyxx('${templateCode}');"></input>
                   -->
                  </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>临时占用单位地址</td>
                  <td colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  class="text" id="zydwAddress"  name="zydwAddress" required="true" value="${zydwAddress}" type="text" style="width:100%" />
                  </td>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>临时占用单位电话</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="zydwTel" id="zydwTel" value="${zydwTel}" required="true" type="text" style="width:100%"/>
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>安全负责人</td>
                  <td colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input   style="width:100%" id="aqfzr" name="aqfzr" id="aqfzr" required="true" value="${aqfzr}" type="text" class="text"  />
                   
                  </td>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>联系人</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="zydwLxr"  id="zydwLxr"  value="${zydwLxr}" required="true" type="text" style="width:100%" />
                  </td>
                </tr>
                  <tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>许可证编号</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="zsbh" style="width:100%" id="zsbh"  value="${zsbh}" class="text" required="true" type="text" />
                   
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">城乡规划部门许可证文号其他部门批准文件名称</td>
                  <td colspan="9" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="whmc" style="width:100%" id="whmc" value="${whmc}" type="text" class="text"  />
                  </td>
               
                </tr>
					<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">占用地点（路名及起止路段）<font color="red">*</font></td>
                  <td colspan="9" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="zylmld" style="width:100%" id="zylmld" value="${zylmld }" required="true" class="text" />
                  </td>
               
                </tr>
				<tr>
                  <td bordercolor="#000000" rowspan="3" colspan="2" height="25" align="center">占用情况</td>
                 </tr>
				
				<tr>
                  <td bordercolor="#000000" rowspan="" colspan="2" height="25" align="center">人行道</td>
                  <td colspan="" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">长(M)
                  </td>
                  <td >
                   <input  size="5" class="text" id="rxdLength" name="rxdLength" value="${rxdLength}" /> 
                  </td>
                  <td bordercolor="#000000" colspan="" height="25" align="center">宽(M)</td>
                  <td colspan="" colspan="" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" id="rxdWidth" name="rxdWidth" value="${rxdWidth}" type="text" size=5 /> 
                  </td>
                   <td bordercolor="#000000" colspan="" height="25" align="center">面积(M²)</td>
                  <td colspan="" colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" id="rxdArea" name="rxdArea" value="${rxdArea}" type="text" size=5  /> 
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" rowspan="" colspan="2" height="25" align="center">公共场所 </td>
                  <td colspan="" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">长(M)
                  </td>
                  <td >
                   <input  size="5" class="text" id="ggcsLength" name="ggcsLength" value="${ggcsLength}" /> 
                  </td>
                  <td bordercolor="#000000" colspan="" height="25" align="center">宽(M)</td>
                  <td colspan="" colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" id="ggcsWidth" name="ggcsWidth" value="${ggcsWidth}" type="text" size=5  /> 
                  </td>
                   <td bordercolor="#000000" colspan="" height="25" align="center">面积(M²)</td>
                  <td colspan="" colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" id="ggcsArea" name="ggcsArea" value="${ggcsArea}" type="text" size=5  id="v_qxdh"/> 
                  </td>
                </tr>
                 <tr>
                  <td bordercolor="#000000" align="center"   colspan="2" height="25" >申请占用时间 </td>
                  <td colspan="2" bordercolor="#000000"  align="center"   style="padding: 1px 1px 1px 1px;"><font color="red">*</font>起止时间</td>
                  <td  colspan="2">
                   <input class="text"   name="zysjqssj" style="width:100%" id="zysjqssj" required="true" value="<s:date name='zysjqssj' format='yyyy年MM月dd日'/>" type="text" style="width:100%" onfocus="WdatePicker({dateFmt:'yyyy年MM月dd日'})" readonly   type="text"/>
                  </td>
                    <td colspan="2" bordercolor="#000000" align="center"   style="padding: 1px 1px 1px 1px;">至</td>
                  <td colspan="2" ><font color="red">*</font>
                   <input class="text"   name="zysjjssj" style="width:100%" id="zysjjssj" required="true" value="<s:date name='zysjjssj' format='yyyy年MM月dd日'/>" type="text" style="width:100%" onfocus="WdatePicker({dateFmt:'yyyy年MM月dd日'})" readonly type="text"/>
                  </td>
                  </td>
                  </tr>
                   <tr>
                  <td bordercolor="#000000" align="center"   colspan="2" height="25" >结构形式与说明  </td>
                  <td colspan="8" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input class="text"   name="jgxssm" style="width:100%" id="jgxssm" value="${jgxssm}"  type="text"/>
                  </td>
               
              
                 <tr>
                  <td bordercolor="#000000" align="center"   colspan="2" height="25" >公安交通管理部门意见 </td>
                   <td  colspan="8">
			            <textarea  class="jgbmyj" rows="8" name="jgbmyj" id="" style="width:100%">${jgbmyj}</textarea>
					</td>
                </tr>
                 <tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">缴款金额</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="sfje" style="width:100%" id="sfje" value="${sfje}"  class="text" type="text" />
                   
                  </td>
                  <td bordercolor="#000000" colspan="" height="25" align="center">缴款通知书号</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="sfbh"  id="sfbh"  value="${sfbh}" type="text" style="width:100%"/>
                  </td>
                    <td bordercolor="#000000" colspan="" height="25" align="center">发票号</td>
                    <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="fph"  id="fph"  value="${fph}" type="text" style="width:100%"/>
                  </td>
                </tr>
               
              </table>
              </td>
            </tr>
    </table>